ISSUES AND TREND IN NURSING : ESSENTIAL KNOWLEDGE FOR

TODAY AND TOMORROW

UKEME A. UDOHWORK-FORCE INTEGRATION

RECRUITMENTThe process of finding and hiring the best-qualified candidate (from within

or outside of an organization) for a job opening, in a timely and cost

effective manner. (Business Dictionary, 2012)

REASON FOR INTERNATIONAL RECRUITMENT OF NURSES

(GLOBAL NURSING WORKFORCE) *Disparities between supply and demand

of nurses from country to country Inconsistent planning for nursing

workforce needs from country to country Aging nurse workforce Aging population A solution to nursing skill shortage in

some countries (Roux & Halstead, 2009)

ETHICAL DILEMMA/ISSUES IN INTERNATIONAL NURSE RECRUITMENT

Discrimination Underutilization- Nurses working in assistive roles in some

host countries Reception/integration of nurses by colleagues in host country Migration adding to shortage in developing countries Impact of migration on developing countries heath care

system Recruiting nurses who were educated at the expense of the

national government. Creating a brain drain of professional workers Are the nurses meeting the health care need of the

developing country

ETHICAL NURSE RECRUITMENT

1.Transparency

2.Fairness

3.Mutuality of benefits for the countries involved.

4.Credible nursing regulation

5.Effective human resources planning and development

6. Access to full employment

7. Good faith contracting.

8. Equal pay for work of equal value

9. Access to grievance procedures

10. Safe work environment

11. Effective orientation/mentoring and supervision

12. Freedom of movement

DEVELOPING AN ETHICAL INTERNATIONAL NURSE RECRUITMENT PLAN

Choose from countries not at risk for severe shortage for example is hiring nurses from Canada, UK, and new Zealand as supposed to Nigeria, Zimbabwe and India (Stewart, Darlene & Clark, 2007)

Is language going to be an issue? Is there a built in community for RN’s from targeted

countries in your area to ease assimilation Is there a welcoming culture among current staff Create an environment to help retain new recruits-

climate, activities, religious institution, social activities, educational opportunities, sports

FOREIGN NURSES PRACTICING IN THE US

Meet the educational requirement-Furnish proof that they have a BSN in nursing with at least 2 years of nursing practice & clean criminal record

Pass an English language proficiency test- TOEFL ( Test of English as a foreign language), TOEIC (test of English for international communication),IELTS ( International English language testing system)

Pass the NCLEX Find a recruiting agency or US based employer Get an RN immigrant visa/green card Get an RN visa interview/ medical examination Accept the job offer and take employment medical exam Get a resuscitation certification/ ACLS, BLS, PALS

HOW CAN THE PROFESSION REASSURE EMPLOYERS THAT INTERNATIONAL

NURSES MEET THE STANDARDS REQUIRED FOR NURSING PRACTICE IN

THE USA.

Knowing what employers are looking for when they are hiring both nationally and internationally

Getting clinical managers as part of the interview process when hiring IENs

Adopting a Pre-screening measure. Pre-employment checks Furnish proof of classes, certifications and

CE’s taken by new hires

RESPONSIBILITY THE EMPLOYER HAVE TO ENSURE NURSES ARE MEETING THE

COMPETENCY STANDARD FOR SAFE AND EFFECTIVE NURSING PRACTICE

Getting nurses involved in continuous education, yearly mandatories and the creating awareness

of the legality of their practice (Austin, 2008)1. Importance of following the nursing process2. Administer medication properly3. Monitor & report for deterioration4. Communicate effectively i.e. SBAR5. Delegate responsibly6. Document in a accurate & timely manner7. Know and follow facility policies and

procedures8. Use equipment properly

RESPONSIBILITY THE PROFESSION HAVE TO ENSURE NURSES ARE MEETING THE

COMPETENCY STANDARD FOR SAFE AND EFFECTIVE NURSING PRACTICE ("Current

nursing," 2010) 1.Quality of Practice 2. Education 3. Professional practice evaluation 4. Collegiality 5. Collaboration 6. Ethics 7. Research 8. Resource Utilization 9. Leadership

KEY BENEFIT OF ETHICAL INTERNATIONAL RECRUITMENT

1. Continuity in the delivery of high standard of patient care

2. Maintenance of safe levels of care3. Retention of local staff4. Diversity in the workplace

VIDEOS

Interview with senior consultant, nursing recruitment and retention:

http://www.youtube.com/watch?v=uVTpU58dCVM

Shortage of nurses is worldwide, but worst in poorer nation video:

http://www.youtube.com/watch?v=PpZWMPUgUdk

References

Austin, S. (2008). Lippincott. Retrieved from http://www.nursingcenter.com/prodev/ce_article.asp?tid=777004

Business Dictionary. (2012). Recruitment. Retrieved from http://www.businessdictionary.com/definition/recruitment.html

Roux, g., & Halstead, J. A. (2009). Issues and trends in nursing. Sudbury: Jones and Bartlett Publishers, LLC.

 

References

Stewart, J., Darlene, C., & Clark, P. (2007, August 7).Migration and recruitment of healthcare professionals: Causes, consequences and policy responses. Retrieved from http://focus-migration.hwwi.de/The-Migration-and-Re.2496.0.html?&L=1

Current nursing. (2010, December 22). Retrieved from http://currentnursing.com/nursing_management/nursing_standards.html